Little Flower Family Practice - Services

Why do I need a "Physical"?


There has been much publicity on wellness and screening tests to try to prevent disease or catch it early. The idea is that doing this will prevent higher health care costs down the line. But what exactly should a patient expect during a wellness exam or physical? This is a time to review any screening tests and immunizations you may be due for. It is also the time to review healthy habits that will also lead to better quality of life. Each age range has different screening and immunization recommendations. Dr Johns and Sandy will review these with you at your wellness visit.



Physicals and Wellness Visits

Immunizations - Child and Adult

Acute Illness Care

Chronic Disease Management



Mole or Lesion Removal

Wart and Skin Tag Removal

Joint Injections

Synvisc Injections

Sports Medicine



As a family practice we care for all ages from birth to end of life.

Skin Cancer Warning Signs


Watching for changes in moles or skin lesions is one of the many ways you can keep yourself healthy. What should you watch for? The best way to remember is to use the mnemonic ABCDE.

A = asymmetry. That means one half does not look lite the other half

B = border. The edges are irregular, notched, ragged, or blurred

C = color. The color is not the same all over.

D = diameter. Lesions may be larger than a pencil eraser.

E = evolving. Any change in size, shape, color, bleeding, itching.

Use this as a way to screen yourself after a bath or shower.

Please note that these are not the only signs. Any mole or lesion that you notice - especially any that are new or are changing should be checked by your doctor. Often these can be removed at the office and will be sent for pathology. That will tell your doctor what the lesion or mole was and if it was all removed.

Definition of Lipids



What types of cholesterol are measured?

A complete cholesterol test, referred to as a lipid panel or lipid profile, includes the measurement of four types of fats (lipids) in your blood:


Low-density lipoprotein (LDL) cholesterol. Goal is less than 100 or if you have diabetes and heart disease less than 70. This is sometimes called the "bad" cholesterol. Too much of it in your blood causes the accumulation of fatty deposits (plaques) in your arteries (atherosclerosis), which reduces blood flow. These plaques sometimes rupture and lead to major heart and vascular problems. In addition, in people with diabetes and in people who are at high risk of heart disease, LDL cholesterol particles tend to be smaller and denser. These smaller, denser particles can cause greater damage to blood vessels than can the cholesterol particles found in people at lower risk of heart disease and in those without diabetes.


High-density lipoprotein (HDL) cholesterol. Goal is greater than 40 in men and greater than 50 in women. This is sometimes called the "good" cholesterol because it helps carry away LDL cholesterol, thus keeping arteries open and your blood flowing more freely.


Triglycerides. Goal is less than 150. Triglycerides are another type of fat in the blood. When you eat, your body converts any calories it doesn't need to use right away into triglycerides, which are stored in fat cells and released later for energy. High triglyceride levels usually mean you regularly eat more calories than you burn. High levels are also seen in overweight people, in those consuming too many sweets or too much alcohol, and in people with diabetes who have elevated blood sugar levels.


Total cholesterol. Goal is less than 200 if NO cardiovascular risk factors* or 150 if you have risk factors. This is a sum of your blood's cholesterol content.

Together, the four numbers can provide clues about your risk of heart attack, stroke or other blood vessel damage (vascular disease). Results of a lipid panel cholesterol test are listed as a set of numbers in milligrams per deciliter (mg/dL).

It's possible to measure only total cholesterol. However, this single test isn't used as much anymore, because knowing only your total cholesterol level doesn't provide your doctor with as much useful information as the more complete lipid panel.


In 2001, a group of national experts known as the National Cholesterol Education Program Expert Panel recommended that the ideal cholesterol test measure the four types of fats (lipids) in your blood that are included in a lipid panel or lipid profile.